Food allergy: Children's symptom levels are associated with mothers' psycho-socio-economic variables

Cortes, Aaron; Castillo, Angela; Sciaraffia, Alicia

doi:10.1016/j.jpsychores.2017.11.009

Cited by 19 publications

(17 citation statements)

References 38 publications

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“…Maternal overprotection was significantly and negatively associated with maternal perceptions of child QoL and psychosocial health and positively associated with social and dietary limitations . Furthermore, significant associations between children's allergic symptoms (gastric and cutaneous) and mothers' anxiety have also been found …”

Section: Results From the Selected Literaturementioning

confidence: 91%

“…79 Furthermore, significant associations between children's allergic symptoms (gastric and cutaneous) and mothers' anxiety have also been found. 80 Although many caregivers function well, a certain subset appears to experience high levels of stress and anxiety that can affect family QoL and children's mental health and may require referrals for psychological support and treatment.…”

Section: Anxiety In Parents and Caregiversmentioning

confidence: 99%

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Anxiety and food allergy: A review of the last two decades

Polloni

Muraro

2020

Clin Experimental Allergy

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Food allergy (FA) is recognized as a growing public health burden affecting 5%‐10% of children worldwide. Several unique features specific to FA elicit high levels of emotional distress and anxiety in patients and caregivers, the first among all the possibility of a life‐threatening reaction. Anxiety disorders are highly prevalent in patients with chronic disease, but remain undertreated despite significant negative consequences on patient health. This review aimed to offer a comprehensive overview of literature data on FA and anxiety of the last two decades. A review of the medical and psychological literature from the year 2000 (MEDLINE, PubMed and PsycINFO) was done using the keywords “anxiety” and “food allergy.” Clinical implications for disease management, various manifestations in different target groups, proper interventions and possible explanations on the nature of the association between FA and anxiety have been discussed, as well as limitations and further research directions. The relationship between FA and anxiety is attributed to FA‐specific fears and anxiety, rather than a general propensity towards anxiety. Some anxiety—short‐lived and related to key events–is to be expected and may even be helpful if it sustains allergen avoidance and preparedness to emergency. However, some data reported that increased anxiety did not improve adherence. Rather, high levels of anxiety have been demonstrated counterproductive and related to maladaptive coping. Further research is needed to elucidate the association between FA and anxiety, especially to understand biopsychosocial directions of the underlying mechanisms and to build proper, effective, standardized protocols of intervention. Clinicians must be aware of the association between FA and anxiety, understand their role in recognizing maladaptive anxiety and encouraging to seek psychological support when needed.

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Section: Results From the Selected Literaturementioning

confidence: 91%

Section: Anxiety In Parents and Caregiversmentioning

confidence: 99%

Anxiety and food allergy: A review of the last two decades

Polloni

Muraro

2020

Clin Experimental Allergy

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“…• Fear of accidental exposure: uncertainty, anxiety and distress in parents, children [1][2][3] and adolescents. 4 5 Survey: more than 50% of 853 US parents of children with peanut allergy reported to be always afraid of exposure.…”

Section: Health-related Quality Of Life (Hrqol)mentioning

confidence: 99%

“…The current standard management for food allergy is complete avoidance of the offending allergen in the diet, combined with training on how to recognize and treat allergic reactions. And while avoidance is currently recognized as a safe approach, it has a limited ability to improve a patients' perception of safety or sense of control over the condition and its associated limitations-this leads many to seek alternative management options [1][2][3][4][5][6]. Oral immunotherapy (OIT) consists of daily ingestion of the offending food allergen (food dosing), starting below a patient's threshold dose (i.e.…”

mentioning

confidence: 99%

CSACI guidelines for the ethical, evidence-based and patient-oriented clinical practice of oral immunotherapy in IgE-mediated food allergy

Bégin

Chan

Kim

et al. 2020

Allergy Asthma Clin Immunol

139

118

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Background: Oral immunotherapy (OIT) is an emerging approach to the treatment of patients with IgE-mediated food allergy and is in the process of transitioning to clinical practice.Objective: To develop patient-oriented clinical practice guidelines on oral immunotherapy based on evidence and ethical imperatives for the provision of safe and efficient food allergy management. Materials and methods:Recommendations were developed using a reflective patient-centered multicriteria approach including 22 criteria organized in five dimensions (clinical, populational, economic, organizational and sociopolitical). Data was obtained from: (1) a review of scientific and ethic literature; (2) consultations of allergists, other healthcare professionals (pediatricians, family physicians, nurses, registered dieticians, psychologists, peer supporters), patients and caregivers; and patient associations through structured consultative panels, interviews and on-line questionnaire; and (3) organizational and economic data from the milieu of care. All data was synthesized by criteria in a multicriteria deliberative guide that served as a platform for structured discussion and development of recommendations for each dimension, based on evidence, ethical imperatives and other considerations. Results:The deliberative grid included 162 articles from the literature and media reviews and data from consultations involving 85 individuals. Thirty-eight (38) recommendations were made for the practice of oral immunotherapy for the treatment of IgE mediated food allergy, based on evidence and a diversity of ethical imperatives. All recommendations were aimed at fostering a context conducive to achieving objectives identified by patients and caregivers with food allergy. Notably, specific recommendations were developed to promote a culture of shared responsibility between patients and healthcare system, equity in access, patient empowerment, shared decision making and personalization of OIT protocols to reflect patients' needs. It also provides recommendations to optimize organization of care to generate capacity to meet demand according to patient choice, e.g. OIT or avoidance. These recommendations were made acknowledging the necessity of ensuring sustainability of the clinical offer in light of various economic considerations. © The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article' s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article'A multidisciplinary team comprised of experts from a diversity of fields was assembled, including allergists and other healthcare professional...

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“…It has been shown that the unproven diagnosis of food allergy and symptoms are effective on the mother's anxiety level, especially in late-type FA (11,21). Cortes et al (24) have also found that the mother's anxiety was related to symptoms, especially in children with gastric and cutaneous symptoms. Beken et al (11) found that mothers of children with food allergy aged 0-2 years had higher levels of state and trait anxiety than the control group, and state anxiety levels decreased when food allergy was excluded after OFC in mothers who started the elimination diet themselves.…”

Section: F O R P U B L I C a T I O Nmentioning

confidence: 99%